Bashiri Rahmah, Mawkili Mousa
Family Medicine, Ministry of Health Holdings, Jazan, SAU.
Cureus. 2025 Jul 9;17(7):e87625. doi: 10.7759/cureus.87625. eCollection 2025 Jul.
Introduction Familial hypercholesterolemia (FH) is a prevalent genetic disorder that predisposes affected individuals to premature coronary artery disease (CAD). Despite its clinical significance, global studies have revealed major deficits in awareness and knowledge among healthcare providers. This study aimed to assess the awareness, knowledge, and practices regarding FH among family physicians in primary health care centers in the Jazan region, Saudi Arabia. Methods A descriptive cross-sectional study was conducted among family physicians working at primary care centers in Jazan. Participants were recruited through convenience sampling using a validated, self-administered online questionnaire adapted from previous studies. The questionnaire addressed demographics, knowledge, awareness, and clinical practices related to FH. A p-value < 0.05 is considered statistically significant. Results The study included 123 participants, with a response rate of 62.1%. Most were male, 81 (66%), and 77 (64%) had ≤ 5 years of experience. A total of 102 (83%) correctly defined FH, while only 27 (22%) knew its prevalence. Knowledge of inheritance and cardiovascular risk was accurate in 37 (30%) and 15 (12%) participants, respectively. Cascade screening awareness was reported by 78 (63%), and 81 (66%) were aware of referral centers. Only 45 (36.6%) demonstrated acceptable knowledge. No significant associations were found between knowledge levels and demographic factors. Conclusion There is a substantial deficiency in FH-related knowledge among primary care physicians in Jazan. Targeted educational initiatives and continuous professional development are critically needed to enhance FH recognition and management in primary care settings.
引言
家族性高胆固醇血症(FH)是一种常见的遗传性疾病,使受影响的个体易患早发性冠状动脉疾病(CAD)。尽管其具有临床重要性,但全球研究表明医疗服务提供者在认知和知识方面存在重大不足。本研究旨在评估沙特阿拉伯吉赞地区初级卫生保健中心的家庭医生对FH的认知、知识和实践情况。
方法
对在吉赞初级保健中心工作的家庭医生进行了一项描述性横断面研究。通过便利抽样,使用从先前研究改编而来的经过验证的自填式在线问卷招募参与者。该问卷涉及与FH相关的人口统计学、知识、认知和临床实践。p值<0.05被认为具有统计学意义。
结果
该研究包括123名参与者,回复率为62.1%。大多数为男性,81名(66%),77名(64%)有≤5年的工作经验。共有102名(83%)正确定义了FH,而只有27名(22%)知道其患病率。分别有37名(30%)和15名(12%)参与者对遗传和心血管风险的知识准确。78名(63%)报告了级联筛查认知,81名(66%)知道转诊中心。只有45名(36.6%)表现出可接受的知识。知识水平与人口统计学因素之间未发现显著关联。
结论
吉赞的初级保健医生在FH相关知识方面存在严重不足。迫切需要有针对性的教育举措和持续的专业发展,以加强初级保健环境中对FH的识别和管理。